1.Easy
What is kangaroo care?
- AA special incubator that copies the mother's heartbeat
- BSkin-to-skin contact between a parent and a baby, often a preterm baby
- CWrapping the baby tightly in a blanket for sleep
- DCarrying the baby in a front sling or carrier while doing the housework each day
2.Easy
Bedwetting at night is usually not considered a problem needing treatment until about what age?
- AAbout 5 years
- BAbout 2 years
- CAbout 10 years
- DAbout 14 years
3.Easy
Which finding is typical of impetigo?
- ATiny burrows between the fingers
- BA target-shaped rash with a dusky, pale centre on the palms
- CHoney-coloured crusts, often around the nose and mouth
- DSilvery scales on the elbows and knees
4.Medium
Which non-drug technique suits a 5-year-old during a cannula insertion?
- ADoing slow breathing exercises with a numeric scale
- BBlowing bubbles or looking at a pop-up book
- CReading a detailed leaflet about the procedure
- DBeing left alone so the child can concentrate
5.Medium
A 15-year-old seems very low in mood. Is it safe for the nurse to ask directly about suicidal thoughts?
- ANo; only a psychiatrist is allowed to ask this question
- BOnly if the parents give written permission first
- CNo; asking about suicide may put the idea into the young person's head and raise the risk
- DYes; asking directly does not increase the risk and helps find those who need help
6.Medium
Which set of findings is typical of nephrotic syndrome in a child?
- AFever, painful urination and back pain
- BFrequent urination, thirst and weight loss
- CBlood in the urine, high blood pressure and a recent sore throat
- DHeavy proteinuria, low serum albumin and generalised oedema
7.Hard
The parents of a 9-year-old who wets the bed most nights have been punishing him. What is the best advice?
- AStop punishing him, praise dry nights and consider a bedwetting alarm
- BWait, as no help is available until he is a teenager
- CWake him every hour through the night and make him change his own sheets
- DStop all drinks after lunch and keep him in nappies
8.Hard
A child recovering from acute rheumatic fever with heart involvement asks why she needs regular penicillin for years. What is the best answer?
- ATo reduce the joint pain that continues after the illness
- BTo prevent new strep infections that could cause further attacks and more valve damage
- CTo prevent common viral colds during the school year
- DTo cure the heart valve damage that has already occurred and let the valves heal completely
Answer key
- 1. B · Skin-to-skin contact between a parent and a baby, often a preterm baby
- 2. A · About 5 years
- 3. C · Honey-coloured crusts, often around the nose and mouth
- 4. B · Blowing bubbles or looking at a pop-up book
- 5. D · Yes; asking directly does not increase the risk and helps find those who need help
- 6. D · Heavy proteinuria, low serum albumin and generalised oedema
- 7. A · Stop punishing him, praise dry nights and consider a bedwetting alarm
- 8. B · To prevent new strep infections that could cause further attacks and more valve damage
Full step-by-step solutions: practise this topic on examproblems.com.